| Capital Region Medical Center | |
|
916 E Main St Linn MO 65051-9780 | |
| (573) 897-2525 | |
| (573) 897-3566 |
| Full Name | Capital Region Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 916 E Main St, Linn, Missouri |
| Authorized Official Name and Position | Tom Luebbering (VP OF FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Medical Center 916 E Main St Linn MO 65051-9780 Ph: (573) 897-2525 | Capital Region Medical Center 916 E Main St Linn MO 65051-9780 Ph: (573) 897-2525 |
| NPI Number | 1770555666 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770555666 | NPI | - | NPPES |
| 50737368 | Medicaid | MO | |
| DD9083 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 E Main St, Linn, MO 65051 Phone: 573-897-2202 Fax: 573-897-3157 | |
Community Health Ctr Of Central Missouri Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 West Main Street, Linn, MO 65051 Phone: 573-897-4946 Fax: 573-897-4941 |